Archives of the Turkish Society of Cardiology
The Caregiver Burden and Psychosocial Adjustment of Caregivers for Cardiac Failure Patients [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-69057 | DOI: 10.5543/tkda.2018.69057

The Caregiver Burden and Psychosocial Adjustment of Caregivers for Cardiac Failure Patients

Filiz Dirikkan1, Leyla Baysan Arabacı2, Ece Mutlu2
1Ege University Department of Cardiology
2Izmir Katip Celebi University Faculty of Health Sciences Division of Nursing Department of Mental Health and Psychiatry Nursing


OBJECTIVE
This cross-sectional and descriptive study evaluates the relationship between the caregiver burden and psychosocial adjustment to illness of caregivers for cardiac failure patients.

METHODS
The researcher used a preliminary information form, the Caregiver Burden Scale(CBS) and the Psychosocial Adjustment to Illness Scale(PAIS-SR) with the caregivers of 200 patients being treated in the cardiology service of a university hospital from November18,2015 to March1,2016.
ResultsOf the caregivers,75% were primary or secondary school graduates,36% were housewives,and 43% were the patients’ spouses. Of them,71% had been caring for their patients for 5 years or less.The caregivers described cardiac failure as“difficulty with inhalation, fatigue, asthenia, insomnia and swelling in the hands and feet.”They said that they felt sorrow,fear,despair,astonishment,anger and guilt when they learned about the diagnosis.They also said that they could generally get through those feelings by themselves,and 94% of the caregivers remarked that after the diagnosis they experienced physical,psychological,social,occupational and economic changes.Of them,74% felt sad and influenced negatively,71.5% faced difficulties during care provision,and 84% felt anxiety due to reasons such as losing the patient during the care and treatment, disease prognosis, surgery(pacemaker implantation) and adjustment to treatment.Their caregiver burden and psychosocial adjustment to illness scale scores were below the average.There were moderate statistically significant relationships between three subdimensions of the caregiver burden and psychosocial adjustment to illness scales(p<.05).
Result: The caregivers for the cardiac failure patients have moderate difficulties due to caregiving and orienting themselves to the illness.Apart from health care orientation,as the distress felt due to caregiving increases,psychosocial adjustment to illness deteriorates.

Keywords: Cardiac Failure, Psychosocial Adjustment, Patients, Caregivers, Caregiver Burden

How to cite this article


Corresponding Author: Filiz Dirikkan, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
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